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Become a Dealer

We are looking for a few good dealers to help us distribute the state-of-the-art Sani-Tech Auger Compactor around the country.

If you have a dedication to customer satisfaction, desire to succeed, integrity, sound business practices, a well-established business, full time sales and service capabilities, and the desire to think out-of-the-box please fill out the form below (or print a copy, fill it out and fax it to us).

Upon receipt of the completed form we will contact you with detailed information. We look forward to working with you!

Company Information
 
Company Name       
Address
City, State, Zip
Phone
FAX
E-mail
   
Company Principles  
 
Name/Title
Name/Title
Name/Title
Years In Business 
  1-5 6-10 10-15 over 15
Annual Gross Sales 0-50K      50-100K   100-150K
150-200K 200-250K 250-300K
300-350K 350-400K Over 400K
Describe Products Sold (including type and brand name)   
 
Number of Full Time Employees 
 
Sales (Inside) 0 1-5 6-10 over 10
Sales (Outside) 0 1-5 6-10 over 10
Service/Install 0 1-5 6-10 over 10
Shop 0 1-5 6-10 over 10
Number of Service Trucks 
  0 1-5 6-10 over 10
Describe Your Installation & On-Site Fabrication Capabilities   
 
 
Your Primary Business Activities 

Waste Equipment Sales
Equipment Installation
Equipment Service
Fabricator
Waste Hauler
Recycler
Compactor Manufacturer
Baler Manufacturer
Other Activities

 
Trade References (List 4 Major Accounts) 
 
Name
Address
City, State, Zip
Phone
FAX
   
Name
Address
City, State, Zip
Phone
FAX
   
Name
Address
City, State, Zip
Phone
FAX
   
Name
Address
City, State, Zip
Phone
FAX
   
Authorization 
 
I hereby authorize Sani-Tech Systems, Inc., or it's agents, to contact any banking, trade, or customer references listed above and any other sources deemed necessary for the purpose of extending credit privileges.
 
Applicant's Name
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